Journal List > J Korean Ophthalmol Soc > v.53(10) > 1009208

J Korean Ophthalmol Soc. 2012 Oct;53(10):1528-1531. Korean.
Published online October 17, 2012.  https://doi.org/10.3341/jkos.2012.53.10.1528
Copyright © 2012 The Korean Ophthalmological Society
Anterior Uveitis and Keratitis in Takayasu's Arteritis
Hae Won Seo, MD, Jin Hyoung Kim, MD, PhD, Do Hyung Lee, MD, PhD and Jong Hyun Lee, MD, PhD
Department of Ophthalmology, Inje University Ilsan Paik Hospital, Inje University College of Medicine, Ilsan, Korea.

Address reprint requests to Jong Hyun Lee, MD, PhD. Department of Ophthalmology, Inje University Ilsan Paik Hospital, #170 Juhwa-ro, Ilsanseo-gu, Goyang 411-760, Korea. Tel: 82-31-910-7240, Fax: 82-31-911-7241, Email: ophtha@naver.com
Received February 24, 2012; Accepted August 25, 2012.

Abstract

Purpose

To report a rare case of simultaneous uveitis and keratitis in Takayasu's arteritis.

Case summary

A 22-year-old woman presented with complaints of redness and decrease in vision in both eyes. The patient was diagnosed a decade earlier as having Takayasu's arteritis. No other systemic or ophthalmic abnormalities were found. She complained of ophthalmic symptom aggravation during an upper respiratory infections and before menstruation. Bilateral corneal edema, conjunctival injection, and anterior uveitis were observed on slit-lamp examination. Concurrent treatments were started in consultation with an internist. Steroid eye drop and steroid systemic administration relieved the ocular pain and symptoms.

Conclusions

When a patient presents with recurrent red eyes and visual disturbances with Takayasu's ateritis, simultaneous uveitis and keratitis due to Takayasu's arteritis should be considered as a possible diagnosis.

Keywords: Anterior uveitis; Keratitis; Takayasu's arteritis

Figures


Figure 1
Twenty two years old female with Takayasu's disease, showing edematous cornea (A) and conjunctival injection (B)(Left eye).
Click for larger image


Figure 2
Fundus photographs taken at the initial visit. The right eye (A) looks clean than the left eye (B) due to corneal edema and uveitis.
Click for larger image


Figure 3
(A) Three-dimensional image of the heart and the aorta shows aneurysmal dilatation, proximal abdominal aorta. (B) Anterior part photograph shows clear cornea and conjunctiva (Left eye). (C) Fundus photograph taken at 2 weeks later. The image is much clear than 2 weeks ago.
Click for larger image

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